An itinerary is a proposed route of a journey. A map (choice a) is not necessary to have a planned route. Travel (choice c) is usually the outcome of an itinerary, but not always. A guidebook (choice d) may be used to plan the journey but is not essential.
All vertebrates have a backbone. Reptiles (choice b) are vertebrates, but so are many other animals. Mammals (choice c) are vertebrates, but so are birds and reptiles. All vertebrates (choice d) are animals, but not all animals are vertebrates.
An orchestra is a large group of musicians, so musicians are essential. Although many orchestras have violin sections, violins aren't essential to an orchestra (choice a). Neither a stage (choice b) nor a soloist (choice d) is necessary.
Sustenance is something, especially food, that sustains life or health, so nourishment is the essential element.Water and grains (choices b and c) are components of nourishment, but other things can be taken in as well. A menu (choice d) may present a list of foods, but it is not essential to sustenance.
An infirmary is a place that takes care of the infirm, sick, or injured.Without patients, there is no infirmary. Surgery (choice a) may not be required for patients. A disease (choice b) is not necessary because the infirmary may only see patients with injuries. A receptionist (choice d) would be helpful but not essential.
